Modelling the determinants of health and cancers as perceived by children: using imagery as a mediator of expression and narration

Gay, Chloé; Deyra, Maéliane; Berland, Pauline; Gerbaud, Laurent; Pizon, Frank

doi:10.1136/archdischild-2020-320601

Cited by 3 publications

(8 citation statements)

References 20 publications

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“… Modeling of the determinants of health expressed and perceived by 381 children aged 6–11 ( 6 ). PA, Physical activity.…”

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

“…The verbatims that mention them are grouped under the domain “advice and support in the social sphere” through the categories “prevention messages” and “feeling of being forbidden.” The combined analysis of verbatims from e.Photoexpression © and Photonarration makes it possible to stabilize these discourse tendencies. Children are essentially self-centered on personal behaviors, aspects of their daily life and the events that closely affect them, providing immediate leverage for action ( 6 ). According to them, the individual determinants have a predominantly favorable influence on health.…”

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

“…According to them, the individual determinants have a predominantly favorable influence on health. Only the “health capital” domain gives a negative and anxiety-provoking input to the determinants of health ( 6 ). This is explained by the presence of categories related to this area, very negative such as death and consumption of psychotropic drugs (alcohol and tobacco).…”

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

“…They remain mainly focused on micro representations, touching an environment very close to their daily life and obscuring the overall context of society such as the economic situation of a country, its political context and the conditions of the labor market. The parameters of accessibility to health services, social assistance, local services, education, housing, place of work, childcare are very little mentioned ( 6 , 31 , 33 ). The few verbatims that mention it are grouped under the area “advocacy and support in the social sphere” through the categories “prevention messages” and “forbidden feeling.” This result emerges mainly from the Photonarration which shows the advantage of having this complementary phase to the e.Photoexpression © to open up to other conceptions thus revealing a new trend.…”

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

“…Moreover, these determinants can be individual or collective, innate or acquired and interact with each other ( 6 ). The combination of their effects creates living conditions that affect overall health in specific ways ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

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Joint Use of e.Photoexpression© and Photonarration: What Methodological Added Value?

Deyra

Gay

Gerbaud

et al. 2021

Front. Public Health

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Objectives: The objective is to describe the informative value and the added value of a qualitative multiphase methodology in order to investigate the conceptions of children aged 6–11 on the determinants of health and cancer.Method: This article provides an analysis of the “Determ'Ados” research protocol, a qualitative study in human and social sciences, carried out with children aged 6–11 years. This protocol, organized in three phases, addresses in the first global health with the tool “e.Photoexpression©,” in the second questions and knowledge around the topic of cancer with the tool “QC” and in the third cancer again with the “Photonarration” tool. The methodology of this innovative, open and exploratory research protocol aims to collect data relating to the experiences, declared practices and knowledge specific to each child who express themselves through photography and storytelling.Results: The analysis of the Déterm'Ados methodology reveals a density and richness of results among all the children interviewed, even among the youngest: 1,498 productions (4 productions per child) were made by 381 children resulting in a wealth of data available thanks to the multiphase protocol. This massive qualitative survey brings complementarity as the collection phases progress and guarantees continuity in the discourse of each child which allows them to deepen their conceptions and to know how they create or not meaning between the determinants of health and cancer.Perspectives: The density and quality of the proposals collected from the children reinforce the validity and rigor of the Determ'Ados methodology. Multiphase is the innovative aspect of the tools used. The e.Photoexpression© and the Photonarration are complementary and inseparable to bring out concepts on health and cancer. These research results, transferable into interventions and current practices, present prevention officers to act more effectively, closer to the conceptions and needs of children.

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“… Modeling of the determinants of health expressed and perceived by 381 children aged 6–11 ( 6 ). PA, Physical activity.…”

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

Section: Putting the Results Of The Overall Analysis Of The Phases Of The Determ'ados Protocol Into Perspectivementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Joint Use of e.Photoexpression© and Photonarration: What Methodological Added Value?

Deyra

Gay

Gerbaud

et al. 2021

Front. Public Health

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Étude qualitative des conceptions d’adolescents sur la qualité de vie pendant l’épidémie de Covid-19

Deyra¹,

Pizon²,

Gerbaud³

et al. 2022

La Revue de Santé Scolaire et Universitaire

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Girl–boy differences in perceptions of health determinants and cancer: a more systemic view of girls as young as 6 years

Gay,

Deyra,

Berland

et al. 2023

Front. Public Health

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IntroductionTo model and analyze the differences between girls' and boys' conceptions of the determinants of health and cancer, as expressed and perceived by children and adolescents.MethodA multicentric qualitative study was conducted in five schools (ages 6–11 years), four middle schools (ages 11–15 years), and three high schools (ages 15–18 years). A multi-phase protocol (phase 1 uses the e.Photoexpression© and phase 2 uses the Photonarration) enables children and teenagers to express themselves through photography and storytelling.ResultsA total of 4,174 qualitative productions were produced by 1,068 children, of which 47% were girls and 53% were boys, all in the ages of 6–18 years. From the results of the productions, it can be noticed that children mentioned and were aware of 30 determinants of health and cancer. The three determinants most mentioned were “Consumption of psychotropic drugs”, “Diet”, and “Harmful environment”. Among these 30 determinants, some were mentioned to a greater or lesser extent by girls and boys. These significant gender differences are present for 20 determinants of health and cancer. These differences evolve with age: (1) In elementary school (ages 6–11), girls gave significantly more importance (p < 0.05) to 11 determinants, while boys attached significantly more importance (p < 0.05) to 2 determinants. (2) In middle school (ages 11–16), girls gave significantly (p < 0.05) more importance to 12 determinants, while boys gave significantly (p < 0.05) more importance to one determinant. (3) In high school (ages 15–18 years), girls gave significantly (p < 0.05) more importance to 13 determinants. There was no significant difference (p < 0.05) in favor of boys for high school students. Girls also have a more systemic view of health determinants than boys. The increase in the number of determinants cited by girls is significant (p = 0.017) between the ages of 6–11 and 15–18 years. This gap widens with age (+1.45 determinants) for girls and (+0.68 determinants) for boys between elementary school and high school.ConclusionThe determinants identified as predominantly female or male, as well as age-related specificities, constitute a resource for effective preventive action, as close as possible to the needs and particularities of a population. This mapping of people's conceptions could provide a decision-making aid in defining the strategic orientations of prevention policies.

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Modelling the determinants of health and cancers as perceived by children: using imagery as a mediator of expression and narration

Cited by 3 publications

References 20 publications

Joint Use of e.Photoexpression© and Photonarration: What Methodological Added Value?

Joint Use of e.Photoexpression© and Photonarration: What Methodological Added Value?

Étude qualitative des conceptions d’adolescents sur la qualité de vie pendant l’épidémie de Covid-19

Girl–boy differences in perceptions of health determinants and cancer: a more systemic view of girls as young as 6 years

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